Organization Active NPI

Marshalls Creek Fire Company

  • Land Ambulance
  • East Stroudsburg, PA
National Provider Identifier
1366610388
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
MARSHALLS CREEK FIRE COMPANY
Practice address
112 Marshalls Creek Rd
East Stroudsburg, PA 18335-0001
Phone
(570) 223-8445
Fax
(570) 223-5620
NPI assigned
Feb 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nicolas Dennis
Title
Treasurer
Phone
(570) 223-8445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

112 Marshalls Creek Rd
East Stroudsburg, PA 18335-0001

Mailing address

PO Box 1
Marshalls Creek, PA 18335-0001
Phone (570) 223-8445

Other identifiers 1

IdentifierTypeStateIssuer
1021169010001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080403000357 PA Part B Supplier - Ambulance Service Supplier 3476630294 Practice locations: East Stroudsburg, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2310212Marshalls Creek Fire Company112 Marshalls Creek Rd, Marshalls Creek, PA 18335Certificate of waiverAug 28, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1366610388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1",
            "city": "MARSHALLS CREEK",
            "state": "PA",
            "postal_code": "183350001",
            "telephone_number": "570-223-8445",
            "fax_number": "570-223-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MARSHALLS CREEK RD",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183350001",
            "telephone_number": "570-223-8445",
            "fax_number": "570-223-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALLS CREEK FIRE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "NICOLAS",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "570-223-8445"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021169010001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.